OHP Prescription Coverage - Frequently Asked Questions

Learn about OHA's Policies for Fee-for-Service Pharmacy Reimbursement

If you have questions not answered by this page, also see:

• DMEPOS rules and guidelines for billing diabetic supplies
• NDC reporting for physician-administered drugs
• OHP Preferred Drug List
• Pharmaceutical Services rules and guidelines

For patients enrolled in an OHP coordinated care organization (CCO), refer to the reimbursement policies of the CCO.

Frequently Asked Questions